基于"开阖枢"理论探析针刺治疗NA-AIONOA
Exploring the Treatment of Ischemic Optic Neuropathy through Acupuncture Based on the"Opening and Closing Pivot"Theory
非动脉炎性前部缺血性视神经病变(NA-AION)好发人群为中老年人,是一种进展迅速的视神经疾病,特征为突发性、无痛性单眼或双眼视力下降,出现与生理盲点相连的视野缺损,并伴有视盘水肿.本文从"开阖枢"理论的角度分析该病病机为开机不利、阖机不利和枢机不利,提出在治疗上以调节枢机为主,以枢调开阖.临证上以"开阖枢"理论为指导,采用龙砂开阖六气针法,结合脏腑辨证、六经辨证等多种辨证手法,定位进行针刺治疗.
The population prone to non-arteritic anterior ischemic optic neuropathy(NA-AION)is middle-aged and elderly individuals.It is a rapidly progressive optic nerve disease.The disease characteristics include sudden and painless monocular or binocular vision loss,the appearance of visual field defects connected to the physiological blind spot,and optic disc edema.This article analyzes the pathogenesis of this disease from the perspective of the"opening and closing pivot"theory,considering it as a disorder of improper opening and closing of the pivot.It proposes that the treatment should mainly focus on regulating the pivot,and opening and closing should be coordinated.Clinically,the"opening and closing pivot"theory is used as the guiding principle,and the Longsha opening and closing six-Qi acupuncture method is adopted,combined with various diagnostic methods such as organ differentiation and six-meridian differentiation,for acupuncture treatment at specific locations.
陈一娜;杨薇;陈曦;杨潇楠;郭欣璐
中国中医科学院眼科医院,北京 100040中国中医科学院眼科医院,北京 100040中国中医科学院眼科医院,北京 100040中国中医科学院眼科医院,北京 100040中国中医科学院眼科医院,北京 100040
医药卫生
缺血性视神经病变青盲开阖枢龙砂开阖六气针法视野检查
ischemic optic neuropathyQingmang(optic atrophy)opening and closing pivotLongsha opening and closing six-Qi acupuncture methodvisual field examination
《中国中医眼科杂志》 2026 (6)
545-550,6
1北京中医药薪火传承"新3+3"工程示范案例项目(2023-ZYSF-08)2中国中医科学院眼科医院院级课题(kxy-202403)3中国中医科学院眼科医院高水平中医医院项目(GSP2-14)
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